Viva Medika Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.

Abstract

Hypertension is one of the global public health problem. Management of overcominghypertension include two types of management, they are pharmacological and nonpharmacologicalmanagement.Oneofnon-pharmacologicalmanagementisawarmwatertherapy.
Warm
water therapy is useful in reducing muscle contractions that can lead to a relaxed feellingand reduce hypertension. The purpose of this research was to know the difference in bloodpressure before and after the warm water therapy in patients with hypertension at tambaksari,kembaran. this research used pre experiment method with one group pre-test and post-test design.Research instrument used were sphygmomanometer, stethoscope, thermometer and observationsheet. Population and sample in this research were members of elderly posyandu with hypertensionat Tambaksari. The sampling technique used in this research was Simple Random Sampling.Statistical test used was paired t-test with Î± value was 5%. The results showed that before beinggiven a warm water therapy systolic blood pressure average was of 170 mmHg and diastolic was90,36 mmHg. The result after bing given warm water therapy systolic blood pressure average was155,36 mmHg and diastolic one was 84,64 mmHg. The average decline of systolic blood pressurewas 14, 643 mmHg and 5,714 mmHg of diastolic one. It showed there is a significant difference ofsystolic and diastolic blood pressure before and after being given warm water therapy. Theconclusion of this research that there is the differences in blood pressure before and after beinggiven the warm water therapy in patient (Ï=0,000).
Keywords: warm water therapy, elderly, hypertension

Abstract

Background: Breast cancer is the cancer with the highest incidence rate of thenumber 2 after cervical cancer. The number of breast cancer patients around theworld continues to increase. The direct causes of breast cancer up to nowunknown, regarding treatment, among experts in the world are also manydifferences of opinion. There are many treatment of breast cancer include,Lumpectomy, Mastectomy, chemotherapy, radiation and hormonal therapy.Objective: To determine the description of the implementation of the therapy inwomen with breast cancer in Banyumas General Hospital in 2013.
Methods: This research is quantitative descriptive retrospective study approach.The sample used is total sampling, samples of this study were all women withbreast cancer who carry out road maintenance in hospitals Banyumas ie 40patients.
Results: From the results, the majority of respondents were age â‰¥ 50 years a totalof 33 respondents (82.5%), mostly there is no family history of breast cancer in asmany as 27 respondents (67.5%), the majority of respondents have as much paritymultiparas 25 respondents (62.5%), the majority of breast cancer treatment ischemotherapy as much as 15 respondents (37.5%).Conclusion: The majority of breast cancer treatment is with chemotherapyKeywords: Breast Cancer Treatment, Age, Family History, Parity

Abstract

Background: Cases of jaundice in Indonesia is still a problem in babies born especially in smallinfants (<2500 g at birth). Incidence of 50% in infants and 75% in infants less bulan.Kasus Prof. jaundice in the hospital. Dr. Margono Soekarjo Purwokerto In 2011 as many as 635 cases ofLBW BBLSR 135 cases and 32 cases. Objectives: To know the relationship between LBW and preamturitas against jaundiceNeonatorum in hospitals Prof. Dr. Margono Soekarjo Navan in 2011.
Methods: The study was a descriptive correlation method with retrospective approach, thepopulation is 635 as neonatal jaundice Neonatorum, using sampling techniques quata samplingwith a sample of 100 neonates, the instrument used is the master table, and useful analysis ofdata using Kendall's tau. Results: No association was lbw to jaundice in the hospital Neonatorum Prof. Dr. MargonoSoekarjo Purwoerto In 2011 the value of p (Sig) 0.447. Prematurity No relation to neonataljaundice in the hospital mengami Prof. Dr. Margono Soekarjo Purwokerto In 2011 the value of p(Sig) 0.380. Conclusion: There was no association of LBW and prematurity in the hospital for jaundiceNeonatorum Prof. Dr. Margono Soekarjo Purwokerto Year 2011
Key words: : LBW, Prematurity and jaundice Neonatorum

Abstract

Health problems are common genital area in women is vaginal discharge. Asmany as 75% of women in the world have suffered from pathological vaginaldischarge. Indonesian women are more prone to reproductive tract infections(RTI) such as flour albus (white) in Indonesia picucuaca moist. Based on theresults of preliminary studies conducted by researchers, the results obtained in2013 the number of cases of pathological vaginal discharge as many as 953 cases,consisting of as many as 458 cases BV, trichomoniasis as 6 cases and 489 cases ofcandidiasis.This research method is pre exsperimental design using the approach of one grouppretest - posttest. Data collection techniques using primary data obtained fromrespondents directly, secondary data in the study include the initials ofrespondents, data on the number of women who mengalamikeputihan. Thesampling technique used purposive sampling 91sampel.The results showed that the results of the univariate analysis showed that priorknowledge of counseling average of 91 respondents was as much as 59.9 wherethe score is included in a sufficient knowledge. While after counseling the averageamount of knowledge amounted to 71.7 is included in the score range sufficientknowledge.Bivariate analysis results showed that there was an effect of counseling ondischarge thitung (-10.424) <- ttable (-1.6620) and Sig value 0.000 <0.1 it can beconcluded that Ho is rejected, meaning that the average knowledge before andafter counseling is different (no influence).The conclusion of this study that there was an effect of counseling on dischargegiven to women to the level of knowledge that increased scores but are stillincluded in the knowledge enough.Keywords: Counseling, Whitish, Knowledge Level, Woman

Abstract

Maternal mortality rate in Indonesia is still high and is a major concern for health development in Indonesia. Preeclampsia is a cause of maternal and perinatalmortality is high, especially in developing countries like Indonesia. Past medicalhistory is a factor of preeclampsia. Existing conditions can include diabetes mellitus,heart disease and hypertension. Hospital Prof. Dr. Margono Soekarjo is the biggestreferral hospital in Banyumas regency, the data obtained the incidence ofpreeclampsia in the year 2011 as many as 374 cases (16.12%), in 2012 as many as551 cases (16.59%) and increased in the year 2013 as many as 555 cases (16.46%).The aim of research to determine the relationship between a history of hypertensionwith preeclampsia in women giving birth in hospitals Prof. Dr. Margono SoekarjoPurwokerto. This research is descriptive correlation with retrospective approach, thepopulation of all women giving birth in hospitals Prof.Dr.Margono SoekarjoPurwokerto as many as 3371 women giving birth, the sampling technique ispurposive sampling with 97 women who develop preeclampsia. The type of datausing secondary data and instrument used master tables as well as data analysisusing Chi-square. The result showed the majority of respondents do not have ahistory of hypertension as much as 54 respondents (55.7%), mostly experiencedpreeclampsia of 50 respondents (51.5%). There is a relationship between a history ofhypertensive disease with an incidence of preeclampsia in maternal (Ã¾-value (0.005)<Î± (0.05). There is a relationship between a history of hypertension withpreeclampsia
Keywords: history of hypertension, preeclampsia, Mother Maternity

Abstract

One of hemodialisa complication is the increase of blood pressure. Some of research show that music therapy can decrease blood pressure. The purpose is to know the influence of music therapy to thedecrease of blood pressure in post hemodialisa patients. Research design is quasy eksperiment designnon equivalent control group. Sampling technique is purposive sampling. The sample of the researchwere 20 respondents (as control group, and experiment group). The data taken measurement of bloodpressure before and after music therapy. The analysis used are difference test and logistic regression.The results show that there is difference sistolik of blood pressure on the experiment group and thereisnâ€™t difference on the control group ((p = 0,001 < 0,05) , (p = 0,180 > 0,05)), there isnâ€™t differencediastolik of blood pressure on the experiment group and there isnâ€™t difference on the control group ((p =0,343 > 0,05), (p = infinite)), there isnâ€™t difference sistolik of blood pressure before and after betwe enexperiment group with control group (p = 0,175 > 0,05), (p = 0,055), there isnâ€™t difference diastolik ofblood pressure before and after between experiment group with control group ((p = 0,231 > 0,05), (p =0,299 > 0,05)), there is relationship sistolik of blood pressure on hemodialisa patients, how manyinfluence canâ€™t presumably because OR canâ€™t uncountable (p = 0,000, OR uncountable). The result ofthis research shows there is not the influence of music therapy to the decrease of blood pressure in posthemodialisa patients.
Keywords: Music therapy, blood pressure

Abstract

Perineum rupture is a tear that occurs when the baby is born either spontaneously orwith a tool or action. Based on research Puslitbang years 2009 - 2010 in several provincesin Indonesia found that one in five mothers who have ruptured perineum died (20%).Perineum rupture level is the level of the perineum tear that occurs due to certain reasonsat the time of delivery, especially in primiparous, one reason is the birth weight. Theincidence of perineal rupture in normal labor primipara in Kebumen Hospital hasincreased which in 2010 amounted to 675 cases and in 2011 was 818 cases. The purpose ofthis research was to determine the relationship between birth weight infants with rupture ofthe perineum in normal labor primipara in Kebumen Hospital in 2011. The correlationtype descriptive study using a retrospective approach is data taken with a birth weightinfants perineum rupture in normal deliveries at hospitals primiparous Kebumen year2011, the population in this study were all birth mothers totaled 922 primiparous mother,the sampling technique total sampling, data collection by using master table, with dataanalysis using the chi-square. The results showed no association between birth weightinfants with rupture of the perineum in normal labor primipara in Kebumen Hospital in2011.
Key words: birth weight babies, rupture perineum, normal childbirth, primipara

Abstract

This research is know the relationship between maternal educational level and supplementary feeding pattern with nutritional status for infants in the age of6-24 months. The research method using observational analytic with designcross-sectiona l and simple random sampling technique sampling conducted in.The sample of this research are 54 respondents. Technique of data collectionusing questionnaires and form recall on 8 June until 1 July , 2011. Data analysisusing the spearman rank correlation test (rho). The results of the research with sothe relationship between maternal educational level with nutritional status forinfant in the age of 6-24 months and the relationship between the supplementaryfeeding pattern with nutritional status for infant in the age of 6-24 months at asignificance level of 5% found that the value p < 0.05 is 0.000. Based on theresults of the analysis, the researcher concluded that there is a significantrelationship between maternal educational level and supplementary feedingpattern for infants in the age of 6-24 months with nutritional status in Gentawangiof Jatilawang Subdistrcit of Banyumas Regency.
Key words: Education, Pattern of Feeding, Nutritional Status In Toodler